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SR0081852
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081852
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Last modified
9/1/2020 4:46:51 PM
Creation date
9/1/2020 4:44:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081852
PE
4211
FACILITY_NAME
27463 N KENNEFICK RD
STREET_NUMBER
27463
Direction
N
STREET_NAME
KENNEFICK
STREET_TYPE
RD
City
GALT
Zip
95632
APN
00521014
ENTERED_DATE
3/6/2020 12:00:00 AM
SITE_LOCATION
27463 N KENNEFICK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: e -L K K J PERMIT# 0 it S2 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS ti <br /> SEPTIC TANK: n,, <br /> CORRECT TANK CAPACITY? ' fit/0 D'� © N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? {� N <br /> DISTANCE TO ANY WELLS? 7 20 J LTJ N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ✓ N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N L,evTfi H <br /> CORRECT TYPE OF PIPING? (� 5-CA g Q N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? �Z 'F N <br /> DISTANCE TO NEAREST LEACH LINE? Y N 0 �ZQy_ ItJ <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ (Y, N <br /> IS D-BOX LEVEL? ✓ �Urij N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) q <br /> DISTANCE TO PROPERTY LINE? � rj N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? t (. S CD N <br /> CORRECT DEPTH OF LL TRENCHES? tell, �6— 3 jj-H© N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Lf N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? N-( ` �( <br /> DISTANCE TO ANY WATER WELLS? >—zoo Y N <br /> DISTANCE TO NEAREST FOUNDATION? �/ 10 Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? �/ N <br /> ttvCORRECT DEPTH AND TYPE OF ROCK? �/ ,S�2 f 2 © NA/� <br /> CORRECT WIDTH? y 21 k, N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? SY <br /> N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TOBE REDRAWN. I` I D , <br /> COMMENTS: ✓fid /77 eiC �'/ (�N-� L <br /> iH <br /> I a 0� <br /> v1w,o- QD ,(4j t <br /> a <br /> INSPE ED BY: �_' � n�,�� DATE: <br />
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